Please use this identifier to cite or link to this item: http://docs.prosentient.com.au/prosentientjspui/handle/1/10806
Title: A prospective review of perinatal mortality at Hospital Nacional Guido Valadares (HNGV).
Authors: Jayaratnam, Skandarupan
Lucia de Fatima Godinho Soares, Maria
Bucens, Ingrid
Jennings, Belinda
Woods, Cindy
Shub, Alexis
Affiliation: Department of Obstetrics and Gynaecology, Cairns Hospital, Cairns, Queensland, Australia.. College of Medicine and Dentistry, James Cook University, Cairns, Queensland, Australia..
Hospital Nacional Guido Valadares, Dili, Timor-Leste..
Hospital Nacional Guido Valadares, Dili, Timor-Leste..
Northern Territory Department of Health, Darwin, Northern Territory, Australia..
School of Health, University of New England, Armidale, New South Wales, Australia..
Perinatal Department, Mercy Hospital for Women, Melbourne, Victoria, Australia.. Department of Obstetrics & Gynaecology, University of Melbourne, Melbourne, Victoria, Australia..
Issue Date: 27-May-2019
Citation: The Australian & New Zealand journal of obstetrics & gynaecology 2019-05-27
Abstract: Timor-Leste has one of the highest perinatal mortality rates in the Asia-Pacific region. Consistent and accurate data collection improves understanding of perinatal outcomes and facilitates the development of interventions to reduce stillbirths and early neonatal deaths. (1) To identify changes in the rates of stillbirth and early neonatal deaths from previous published data. (2) To determine if prospective data collection and the application of the simplified Causes Of Death and Associated Conditions (CODAC) classification allows better identification of perinatal deaths in Timor-Leste. A prospective audit of perinatal deaths of women delivering at Hospital Nacional Guido Valadares (HNGV) was undertaken from January to June 2016 inclusive. The hospital birth registry, maternal and neonatal records were reviewed to determine the most likely aetiology and classification of perinatal deaths using the simplified CODAC system. One hundred and ten stillbirths and 28 early neonatal deaths were identified. Fifty-four percent of perinatal deaths occurred antepartum, 26% intrapartum and 20% were early neonatal deaths. Cause of death among stillbirths could not be ascertained in 40% of cases. Intrapartum asphyxia was the commonest identified aetiology of intrapartum and early neonatal deaths. There has been limited improvement in the rate of stillbirths and early neonatal deaths at HNGV. Intrapartum hypoxia and maternal hypertensive conditions were the most common identified aetiologies highlighting areas where targeted interventions may help reduce high perinatal mortality rates. Aetiology of perinatal deaths, particularly antepartum stillbirths was difficult to discern even when well-tested classification systems are used.
URI: http://docs.prosentient.com.au/prosentientjspui/handle/1/10806
DOI: 10.1111/ajo.12991
ORCID: https://orcid.org/0000-0002-2730-7454
https://orcid.org/0000-0001-5790-069X
https://orcid.org/0000-0001-9719-5753
Type: Journal Article
Subjects: Timor-Leste
fetal death
perinatal death
pregnancy outcome
stillbirth
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